# MEMORIAL HOME AND COMMUNITY BASED WAIVER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831388222
- **Authorized official:** PAIGE ANN OKPALOBI (CFO)
- **Authorized official phone:** (504) 243-1018

## Contact information

- **Practice address:** 5640 READ BLVD, SUITE 670, NEW ORLEANS, LA 70127-3140
- **Practice address phone:** (504) 243-1018
- **Practice address fax:** (504) 243-1066
- **Mailing address:** PO BOX 5610, SLIDELL, LA 70469-5610
- **Mailing address phone:** (504) 243-1018
- **Mailing address fax:** (504) 234-1066

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | PCA 14033 | LA | Yes |

## Other

- **Enumeration date:** 10/22/2007
- **Last updated:** 08/06/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | APPLIED FOR | — | LA |
